DOI: 10.1002/ccr3.73771 ISSN: 2050-0904
Heart Failure Progression in the Setting of Persistent Atrial Fibrillation, Frequent Premature Ventricular Complexes, and Malignancy‐Related Limitations to Guideline‐Directed Medical Therapy: A Case Report
Douni Roger, Waleed Shaker, Majid Yavari, Rajan Thakur, Mark Castellani, Zan Siddiqi, Maurice TiotsopABSTRACT
Persistent atrial fibrillation and frequent premature ventricular complexes may contribute to worsening heart failure, particularly when malignancy limits guideline‐directed medical therapy. In patients with progressive ventricular dysfunction and limited pharmacologic options, atrioventricular nodal ablation with cardiac resynchronization therapy‐defibrillator implantation may provide durable rate control and support subsequent ventricular functional recovery.